Active NPI
Eric L Balfour, M.D.
- Radiation Oncology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 18896
- Practice address
- 2969 Curran Dr N
Jackson, MS 39216-4121 - Phone
- (601) 200-3070
- Fax
- (601) 200-3172
- NPI assigned
- May 12, 2006
- Last updated
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 18896 | MS | Primary |
Addresses
Primary practice location
2969 Curran Dr N
Jackson, MS 39216-4121
Mailing address
PO Box 4997
Jackson, MS 39296-4997
Phone (601) 362-0600
Other practice location 1
2368 Grove St
Vicksburg, MS 39183-2857
Phone (601) 638-3005
Other practice location 2
1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1416
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000671542 | Medicaid | MS | |
| 3329068 | Medicaid | TN | |
| 207209909 | Medicaid | MO | |
| 00671542 | Medicaid | MS | |
| 4108904 | Other | TN | TN BCBS |
| 1861442436 | Other | MS | NPI |
| 83369 | Other | AR | AR BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Louisiana State University School of Medicine in Shreveport, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2969 Curran Dr N
St. Dominic Cancer Center
Jackson, MS 39216-4121
Phone (601) 200-3070
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.25 of 100
- Quality
- 58.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiation Oncology of Mississippi PA | Radiation Oncology | Current | Accepting new patients |
| Mid-South Imaging & Therapeutics, P.a. | Past | Accepting new patients | |
| Vicksburg Oncology Associates LLC | Radiation Oncology | Past | Accepting new patients |
Locations
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
2969 Curran Dr N
Jackson, MS 39216
Phone (601) 200-3070
2368 Grove St
Vicksburg, MS 39183
Phone (601) 362-0600
Interoperability endpoints
- ebalfour171940@direct.bmhcc.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1003905266
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1174613830
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1861442436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4997",
"city": "JACKSON",
"state": "MS",
"postal_code": "392964997",
"telephone_number": "601-362-0600",
"fax_number": "601-362-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2969 CURRAN DR N",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164121",
"telephone_number": "601-200-3070",
"fax_number": "601-200-3172"
}
],
"practiceLocations": [
{
"address_1": "2368 Grove St",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391832857",
"country_code": "US",
"telephone_number": "601-638-3005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1225 N State St",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392022064",
"country_code": "US",
"telephone_number": "601-968-1416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALFOUR",
"first_name": "ERIC",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2023-02-13",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MS",
"license": "18896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000671542",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3329068",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207209909",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00671542",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BCBS",
"identifier": "4108904",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1861442436",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "83369",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.